Burke’s CCBHC Expansion Grant project endeavors to positively impact the mental health landscape of twelve counties in rural eastern Texas, presently classified as a health professional shortage area. Burke plans to improve access to psychiatric services, health screenings, care coordination, and substance use treatment. Efforts focus on Medicaid low-income uninsured (MLIU) individuals with mental illness and/or co-occurring disorders, serving 1,700 annually.
Burke’s rural service area is comprised of a population of over 385,000 dispersed over 10,000 square miles. The ethnic distribution of the population is 15.3% African American, 15.3% Hispanic, 67.0% Non-Hispanic White and 2.4% other. Burke’s twelve county area evidences multiple mental health needs as well as several significant Social Determinants of Health, namely economic instability as evidenced by high rates of poverty and lack of insurance, and lack of access to healthcare.
Burke stands as the sole comprehensive behavioral health care system in the service area that works with the MLIU population of focus. With this project, Burke aims to address the aforementioned Social Determinants of Health and will focus on the needs of the underserved area by way of the following goals:
¿ Improve access to comprehensive behavioral healthcare and necessary physical health screenings for the population of focus – Burke will hire and train psychiatrists, increase psychiatric visit volume, and create procedures for and implement provision of HIV and Hepatitis A, B, and C screenings.
¿ Increase access to specialized substance use disorder (SUD) outpatient treatment services for the population of focus – Burke aims to allocate prescriber(s) to provide medication-assisted treatment (MAT), hire counselors and clinicians to provide SUD services, hire a specialized SUD trainer to better educate the agency’s workforce, and more fully assess for unhealthy substance use in the population of focus.
¿ Expand care coordination to the population of focus – Burke will add 6 care coordinators to better integrate care and address co-occurring needs, increasing the provision of care coordination to our client population. Burke also aspires to report improvement in related measures.
Burke endeavors to employ a service array for this project which is built upon Evidence-Based Practices (EBPs) while utilizing an individualized, recovery-oriented approach to each individual and family served. In addition, the Child and Adolescent Needs and Strengths (CANS) and the Adult Needs and Strengths Assessment (ANSA) are often utilized to assess outcomes. With the above mentioned goals and strategies, Burke plans to serve 2,150 total unduplicated individuals over the span of the two-year project.